340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WELLNESS SPECIALTY PHARMACY INC
CHC28368-00 SOUTHERN CALIFORNIA MEDICAL CENTER, INC.
Print
Covered Entity Details
Entity Name
SOUTHERN CALIFORNIA MEDICAL CENTER, INC.
Subdivision Name
Southern California Medical Center (EM)
Type
HRSA-Funded Health Center
340B ID
CHC28368-00
Entity Address
12100 VALLEY BLVD
EL MONTE, CA 91732-3100
Grant Number
H80CS28368
Participating Start Date
10/1/2015
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WELLNESS SPECIALTY PHARMACY INC
Pharmacy Address
19944 VENTURA BLVD
WOODLAND HILLS, CA 91364
Pharmacy Comments
Contract Details
Approval Date
7/2/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Abbas Hosseini, System Manager
(818) 421-1035
Contract Pharmacy Representative
Wellness Specialty pharmacy
Bahareh Golestanipour, Owner
(818) 854-6600
Signed By Date
7/2/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session